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Çocukluk çağında obezite ve D vitamini eksikliği günümüzde giderek artan önemli sağlık sorunlarındandır. Bu çalışmada, obez hastaların vitamin D düzeyleri ile beden kütle indeksi arasındaki ilişkiyi incelemek amaçlanmıştır. Çalışmaya Çocuk Metabolizma polikliniğinde obezite nedeniyle takip edilen ve sağlıklı beslenme desteği alan 83 çocuk hasta dahil edilmiştir. Hastaların demografik bilgileri, boy-kilo ölçümleri alınmış, beden kütle indeksi ve persentil değerleri hesaplanmıştır. Hastaların serum 25 hidroksi vitamin D, insülin, hemoglobin A1C, kolesterol ve trigliserit düzeyleri değerlendirilmiştir. Çalışmaya alınan çocuk hastaların yaş ortalaması 10.73±3.32 yıldır. Hastaların 25 hidroksi vitamin D düzeylerinin, % 42.6 sının 10 ng/mL’nin altında, %47.1’ inin 20-30 ng/mL arasında olduğu bulunmuştur. Çocuk hastaların %12’si (n=10) fazla kilolu, % 88’i (n=73) obez olarak değerlendirilmiş ve fazla kilolu ve obez olarak değerlendirilen çocukların serum 25 hidroksi vitamin D, insülin, hemoglobin A1C, kolesterol ve trigliserit düzeyleri arasında istatistiksel olarak anlamlı bir fark saptanmamıştır. Buna karşılık vücut ağırlığı ile 25 hidroksi vitamin D düzeyleri arasında negatif yönde, vücut ağırlığı ile insülin ve trigliserit düzeyleri arasında ise pozitif yönde bir ilişki tespit edilmiştir. Benzer biçimde, 25 hidroksi vitamin D ile insülin düzeyleri ve trigliserit düzeyleri arasında ise negatif yönde bir ilişki bulunmuştur. Bu çalışma bölgemizdeki çocukların beden kütle indeksi değerleri ve D Vitamini ilişkisini ortaya koymakta olup, obez çocuklarda vitamin D düzeylerinin yetersiz düzeyde olduğu, vücut ağırlığı artışı ile vitamin D düzeyinin azaldığı görülmüştür. Ayrıca vitamin D ile insülin ve trigliserit düzeyleri arasında negatif yönde bir ilişki bulunmuştur.
Obesity and vitamin D deficiency in childhood are one of the increasing major health problems today. This study aims to study the relationship between obese patients’ vitamin D levels and body mass index. The study included 83 children who were followed by obesity in the Child Metabolism Clinic and received healthy nutrition support. The demographic data of patients, weight-weight measurements, body mass index and percentage values are calculated. Patients’ serum 25 hydroxy vitamin D, insulin, hemoglobin A1C, cholesterol and triglyceride levels have been evaluated. The average age of children who were taken to the study is 10.73±3.32 years. Patients with 25 hydroxy vitamin D levels, 42.6 percent below 10 ng/mL, 47 percent. It was found that 1' was between 20-30 ng/ml. 12% of infants (n=10) overweight, 88% (n=73) obese, and overweight and obese in children, there was no statistically significant difference between the serum 25 hydroxy vitamin D, insulin, hemoglobin A1C, cholesterol and triglyceride levels. In contrast, a link between body weight and 25 hydroxy vitamin D levels has been found in a negative direction, while between body weight and insulin and triglyceride levels has been found in a positive direction. Similarly, a link between 25 hydroxic vitamin D and insulin levels and triglyceride levels has been found in a negative direction. This study reveals the body mass index values of children in our area and the ratio of vitamin D, and it has been found that the levels of vitamin D in obese children are insufficient, the body weight increase and the level of vitamin D decreases. There has also been a negative link between vitamin D and insulin and triglyceride levels.
Obesity and vitamin D deficiency are both important important healthcare problems in childhood. The purpose of this study was to evaluate the association between body mass index, vitamin D status, insulin and triglyceride levels. 83 pediatric patients who were followed up for obesity in the Pediatric Metabolism Outpatient Clinic and received only healthy nutritional support were included in the project. Demographic data was obtained, height-weight measurements were performed and body mass index and percentile values were calculated. Serum 25 hydroxy-vitamin D, insulin, hemoglobin A1C, cholesterol and triglyceride levels of the patients were evaluated. The mean age of the pediatric patients included in the study was 10.73 ± 3.32 years. It was found that in 42.6% of the patients 25 hydroxy-vitamin D levels were below 10 ng / mL and in 47.1% of them vitamin D levels were between 20-30 ng/mL. Twelve % (n = 10) of the pediatric patients were evaluated as overweight and 88 % (n = 73) were obese. There was no statistically significant difference in serum 25 hydroxy-vitamin D, insulin, hemoglobin A1C, cholesterol and triglyceride levels between these two groups. On the other hand, negative correlations were found between body weight and 25 hydroxy-vitamin D levels and between body weight and insulin and triglyceride levels. Similar to this, a negative correlation was seen between 25 hydroxy-vitamin D and insulin levels and 25 hydroxy-vitamin D and triglyceride levels. This study reveals the relationship between body mass index values and vitamin D status of children in our region; vitamin D levels were inadequate in obese children and vitamin D levels decreased with increasing body weight. In addition, a negative correlation was found between vitamin D and insulin and triglyceride levels.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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